As stated in Article 48 of Government Regulation (Peraturan Pemerintah or PP) No. 45 of 2023, permit holders are required to ensure periodic radiological reviews of medical exposures in the facilities under their responsibility. The scope of the radiological review is a review of the shortcomings and advantages of the application of justification, optimization, investigation, and correction of medical exposures. Radiological reviews of medical exposures are also a comprehensive review of patient safety related to the use of ionizing radiation sources. In accordance with this, it is necessary to identify the potential capabilities of hospitals in conducting radiological reviews that will be used as input for the preparation of guidelines for the implementation of radiological reviews. The initial focus of these guidelines is for radiotherapy facilities that have a high potential radiological risk for patients.

The survey visit was led by the Health Assessment Activity Manager, Rusmanto, together with the technical guideline drafting team, namely Leily Savitri, Titik Kartika, Sudradjat, and Iswandarini. In the opening session, Rusmanto conveyed that the agenda of the visit was to photograph and identify good practices that had been carried out or had been planned in a program related to the review or evaluation review of the implementation of the justification principle and optimization of radiation protection for patients. The survey visit was carried out as part of the process of collecting supporting data and enrichment in the preparation of technical guidelines so that the resulting guidelines would be applicable.

The survey activities at the two radiotherapy facilities were welcomed by the management because they could contribute and be involved in collecting data for the preparation of technical guidelines.

In the opening session, Titik Kartika also presented the background material for the preparation of technical guidelines. After that, a core session was conducted to explore and identify good practices through interviews and discussions on clinical justification and optimization in radiotherapy, incident reporting mechanisms, and quality control programs.

This activity ended with a direct review of the radiotherapy room to see the practice of radiotherapy patient services and supporting equipment. This was to obtain an overview and information on the flow of the radiotherapy service process. (P2STPFRZR/Sudrajat/BHKK/AP/Translator: GP)